NPI | 1104358787 |
---|---|
Entity Type | Organization |
Authorized Contact | EUGENE KETSELMAN Owner Physical Therapist 908-304-3620 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NJ 40QA01566100) |
Enumeration Date | 2017-04-01 |
Last Update Date | 2019-10-03 |