| NPI | 1780329763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON JESSICA TATUM Owner/Physical Therapist 484-459-1996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 251E00000X Home Health |
| 251V00000X Voluntary or Charitable | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QD0000X Clinic/Center, Dental | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QP3300X Clinic/Center, Pain | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2022-05-03 |