| NPI | 1780125062 |
|---|---|
| Doing Business As | PENN HIGHLANDS CONCUSSION CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRIAN S KLINE VP/CFO/Authorized Official 814-375-6377 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-04-05 |