| NPI | 1104044155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEY ANNE CARECCIA Sole Propriietor 973-777-9040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA0540700) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |