| NPI | 1093385676 |
|---|---|
| Doing Business As | PHYSIOPROS PERFORMANCE REHAB |
| Entity Type | Organization |
| Authorized Contact | JEFFREY LONG Owner 973-713-3805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2022-05-17 |