| 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 | 2010-09-13 |