| NPI | 1124066626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADIMIR STASHCHYSHYN President 973-994-6535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01004600) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2007-09-09 |