| NPI | 1922414473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE L MELLOTT Office Manager 814-238-3485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT012059L) |
| Enumeration Date | 2014-07-05 |
| Last Update Date | 2025-09-29 |