| NPI | 1174712178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL SIMPSON President 201-833-0234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40qa01108500) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2009-10-14 |