| NPI | 1992105076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MILLIGAN Office Assistant 484-343-4228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT0130032) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2014-08-26 |