| NPI | 1093984395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD A EDELSON Owner 973-744-9098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ QA02640) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2010-05-26 |