| NPI | 1134097744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY NICOLE SHEYDVASSER Physical Therapist/Owner 732-947-7512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2025-10-27 |
| Last Update Date | 2025-10-27 |