| NPI | 1912026170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C DONESON Administrator 215-244-0235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT005218L) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA DAPT001179) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |