| NPI | 1013206739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISEU NASCIMENTO Physical Therapist 973-589-2171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: NJ 40QA01293800) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2011-04-04 |