| NPI | 1093011306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CARL PINEDA Owner 201-721-5359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ 40QA01347600) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2011-02-03 |