NPI | 1760423602 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH J WANG Owner 267-992-1338 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT015799) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC0074444L) |
111N00000X Chiropractor | |
225100000X Physical Therapist | |
Enumeration Date | 2006-06-10 |
Last Update Date | 2024-03-05 |