| NPI | 1063508174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN BURTON Owner 973-248-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00621100) |
| Additional Taxonomies | 2251C2600X Physical Therapist, Cardiopulmonary (Licence: NJ 40QA00621100) |
| 2251E1200X Physical Therapist, Ergonomics (Licence: NJ 40QA00621100) | |
| 2251G0304X Physical Therapist, Geriatrics (Licence: NJ 40QA00621100) | |
| 2251H1200X Physical Therapist, Hand (Licence: NJ 40QA00621100) | |
| 2251H1300X Physical Therapist, Human Factors (Licence: NJ 40QA00621100) | |
| 2251N0400X Physical Therapist, Neurology (Licence: NJ 40QA00621100) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: NJ 40QA00621100) | |
| 2251S0007X Physical Therapist, Sports (Licence: NJ 40QA00621100) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NJ 40QA00621100) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2022-08-09 |