| NPI | 1063868172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA JOHNSON DAVIS Owner 609-694-8896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ 40QA00883900) |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2017-01-24 |