| NPI | 1033712328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA THOMAS Owner 201-694-3364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2022-12-14 |