| NPI | 1871003954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN MCLEAN Owner 570-419-0943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NH 3872) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-10-03 |