| NPI | 1699739805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY E STEPHAN Practice Administrator 814-454-2401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2009-12-10 |