| NPI | 1003932880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH ALLEN ROGERS Owner 201-921-7766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ 40QA00966100) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2011-01-31 |