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 |