| NPI | 1679546113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ATCAVAGE Owner 570-785-2018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2020-02-20 |