| NPI | 1154625721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK L VALENTE President 856-769-4564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2022-03-10 |