| NPI | 1093075160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MARK RODGERS Owner/Physician 201-592-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ NJMCO1411) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2012-05-23 |