| NPI | 1972658003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX UFBERG Licensed Physical Therapist 215-671-8909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PA pt-002109-e) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |