| NPI | 1801219092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA LASALLE Owner 215-613-6523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-01-27 |