| NPI | 1114157344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL C PRATA Physical Therapist 973-454-6065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01212000) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2018-02-21 |