| NPI | 1003175274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK B. KUSHNICK Managing Member 732-254-0772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00101400) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2012-05-09 |