| NPI | 1063542363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA MARIE ROUSSELL Physical Therapist Practice Owner 732-842-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ QA05714) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |