| NPI | 1023433307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLO UCOL Manager 973-994-0497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NJ 40QA01094500) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-24 |