| NPI | 1003986266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ALLAN ERICKSON Owner Doctor Physical Therapist 732-565-5455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |