| NPI | 1760634166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LYNN MIODUSZEWSKI Manager/Member 814-464-0627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: PA oc006865l) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2019-04-02 |