| NPI | 1902163462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN WALKER O PT Ometrist 610-586-0651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: PA OEG-001360) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2012-04-20 |