| NPI | 1952598658 |
|---|---|
| Doing Business As | PHYSICAL MEDICINE SPECIALIST OF HANOVER |
| Entity Type | Organization |
| Authorized Contact | MARILYN A. OLEJNIK Chief Financial Officer 717-633-3511 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2007-09-27 |