| NPI | 1730832643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYDNEY BLANKENSHIP Owner Manager 724-261-1713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 261QP2000X Clinic/Center Physical Therapy | |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2022-02-22 |