| NPI | 1023867165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE LANCE Owner 908-319-8648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251N0400X Physical Therapist, Neurology | |
| 2251S0007X Physical Therapist, Sports | |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2024-05-13 |