| NPI | 1104210632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN KIM Biller 201-446-6701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: NJ 25MA07185900) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-03-23 |