| NPI | 1154843555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA MAYANTS PT 973-699-0599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 036359-1) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2017-07-07 |