| NPI | 1922085471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM THOMPSON Practice Manager 215-587-3122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2020-08-22 |