| NPI | 1003881095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBENEZER OGUNTUASE President 856-794-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00598500) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2011-05-11 |