| NPI | 1902445380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES DURR Owner, Authorized Official 610-518-3370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-24 |