| NPI | 1952763237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MCNEILL Chief Executive Officer 570-856-8942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA OS018013) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care |
| 207QA0505X Family Medicine, Adult Medicine | |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2021-06-03 |