| NPI | 1114631421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TULSI S SHAH Owner (Managing Member) 732-322-0023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2023-02-17 |