| NPI | 1124519160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE KIM Managing Director 201-783-2332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01510100) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2021-07-19 |