| NPI | 1861378523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE DRAYTON Owner Provider Authorized Official 215-200-0206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2025-08-15 |
| Last Update Date | 2025-08-15 |