| NPI | 1023108883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA J HUGGARD Owner 856-874-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA010432) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-12-12 |