| NPI | 1184969388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETTY TEREBELO Owner 732-367-0019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2013-05-29 |