| NPI | 1720205040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH HAINES Physical Therapist 215-616-4056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT000844E) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |