| NPI | 1841878527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY WEBER General Manager 215-653-7220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2021-04-02 |