| NPI | 1114959673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEY RAINES Director 973-744-7774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NJ 18KT00636900) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2019-12-04 |