| NPI | 1164436036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE BOENNING Owner/Physical Therapist 732-701-9320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ QA04593) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2011-03-18 |