| NPI | 1164618617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADIMIR STASHCHYSHYN President 973-449-1394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NJ 40QA01004600) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2010-08-19 |