NPI | 1912381906 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW A PETRUCCELLI Physical Therapist/Clinic Director 302-504-6195 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: DE J1-0003344) |
Enumeration Date | 2015-07-20 |
Last Update Date | 2015-07-20 |