NPI | 1093125700 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY DUPREE Owner/ Physical Therapist 201-693-0974 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: NJ 40QA01113900) |
Enumeration Date | 2014-05-02 |
Last Update Date | 2014-05-02 |