| NPI | 1720438690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON RIDDLE Physical Therapist 412-760-4874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: PA PT017595) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2020-04-27 |