| NPI | 1043294523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE K MARCKS Partner 732-254-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2020-08-22 |