| NPI | 1073995205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PIROG Credentialing Officer 973-909-5159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: PA PT002507E) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2015-06-24 |