| NPI | 1093996175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY SAMUEL HARRIS Owner 856-797-6778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NJ 40QA00312500) |
| Enumeration Date | 2007-11-17 |
| Last Update Date | 2007-11-17 |