| NPI | 1104315811 |
|---|---|
| Doing Business As | PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | MONA LISA LAO Operation Manager 201-936-2660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 01062100) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |