| NPI | 1821031972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY ANN SHEPHARD Office Manager 215-722-5080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ QA08734) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2020-08-22 |