| NPI | 1689010670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK LEE SOMERVILLE Owner/Operator 484-682-4442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: PA OP006867) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2013-05-16 |