| NPI | 1891971818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALLEN DONATHAN Owner 215-872-3595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: PA PT012924) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-06-05 |