| NPI | 1134170103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP S KIM President 201-968-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01062200) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00576300) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2010-10-22 |