| NPI | 1053776583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VOLTAIRE BERMUDO Physical Therapist 201-696-6193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01383000) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |