| NPI | 1710486188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GUTHRIE President 215-432-7804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA BG6427644) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: PA BG6427644) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: PA BG6427644) | |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2018-02-12 |