NPI | 1114963063 |
---|---|
Doing Business As | SPORTS TRAINING PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | MAUREEN BRODERICK WILHELM President 973-467-7976 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Enumeration Date | 2006-06-21 |
Last Update Date | 2020-08-22 |