| NPI | 1912528274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY ANN THOMAS Prov Enrollment Cred Specialist 717-839-2159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2020-05-12 |