NPI | 1790080455 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROL MANNO Owner 215-348-7775 |
Organization Subpart ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: PA PT002387E) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
Enumeration Date | 2011-01-11 |
Last Update Date | 2012-09-14 |