| NPI | 1043682099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D RYAN Co Owner 551-404-5405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ 40QA01148000) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |