| NPI | 1104160555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANASTASIOS BOUZIOTIS Owner 908-229-2878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01120600) |
| Enumeration Date | 2012-11-23 |
| Last Update Date | 2012-11-23 |