| NPI | 1851563076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID POTOKER Administrator 814-459-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: PA SL 00129 L) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2011-10-04 |