| NPI | 1902193063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELINDA SHEPHERD Owner/Director 215-528-9899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2025-03-14 |