| NPI | 1013255827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY BOULES Administrative Director 973-477-6045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2013-01-29 |