| NPI | 1972188696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK FEDORCZYK Owner 215-962-9557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2021-03-15 |