| NPI | 1194402180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FORMISANO Founder/Physical Therapist 201-817-9976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| 225X00000X Occupational Therapist | |
| 225XH1200X Occupational Therapist, Hand | |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-12-16 |