| NPI | 1831708809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YELENA KUZNETSOV Admin 215-710-0515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |