| 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 |