| NPI | 1083750624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI LYNN GOLDMAN Executive Director 856-396-2250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2008-03-13 |