| NPI | 1760993653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TULSI MADDULA Physical Therapist 215-880-7701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT025052) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2017-10-18 |