| 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 |