| NPI | 1013381763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS CABRERA Executive Director 201-932-0197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01420300) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2016-07-07 |