| NPI | 1790899862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY LYNN MENSINGER Owner 570-323-0717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT003201-L) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |