| NPI | 1922168590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHALISH NIEVES Billing Supervisor 215-830-9568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA 029257E) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |