| NPI | 1164667804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BRUMER Physical Therapist 732-698-7108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ 40QA01030800) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2015-02-06 |