NPI | 1689981573 |
---|---|
Entity Type | Organization |
Authorized Contact | JOEL JAMES DIGRIS Co Owner 570-640-3321 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT-011272-L) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC-005720L) |
Enumeration Date | 2010-09-13 |
Last Update Date | 2024-08-27 |