| NPI | 1801390729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMEI NICHOLE STEFANSKI Owner 724-996-9276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0015240) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-03-23 |