| NPI | 1093489452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN ROQUE MENDEZ Doctor Of Physical Therapy 973-870-2272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-08-08 |
| Last Update Date | 2021-08-08 |