| NPI | 1174612832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANNE PETROCELLI Office Manager 201-503-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NJ 40QA01172600) |
| Additional Taxonomies | 261QP3300X Clinic/Center Pain (Licence: NJ 25MA05923000) |
| 261QR0400X Clinic/Center Rehabilitation (Licence: NJ 25MA05923000) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |