| NPI | 1992594709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN LONGENECKER Owner 610-451-8963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2025-05-06 |