| NPI | 1932241452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA A BOESKEN Office Manager 610-791-7690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: PA 036783E) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |