| NPI | 1194195271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEEVAN M MATHEW Owner 845-596-9031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NJ 40QA01478100) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2015-10-01 |