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 |