| NPI | 1841375086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE M GRELLO Owner 610-265-2230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT013857L) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: PA PT013857L) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: PA PT013857L) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-10-13 |