| NPI | 1124553664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN STARACE Owner/Physical Therapist 732-687-3497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: VA 2305206813) |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2017-04-21 |