| NPI | 1033547005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO MAURICIO TRUJILLO Physical Therapist 732-609-1547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NJ 40qao1259300) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |