| NPI | 1154108314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIANCA PETROCELLI Owner 732-742-8918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2023-09-12 |