| NPI | 1699801092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE CARSON Credentialing Manager 814-826-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 017904-1) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2022-12-21 |