| NPI | 1669975496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN BEVILACQUA Mbr 215-534-2381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 251E00000X Home Health (Licence: SC 3143) |
| Enumeration Date | 2018-03-18 |
| Last Update Date | 2020-01-13 |