| NPI | 1194710921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD A COOPER Physical Therapist 732-224-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ QA04695) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2010-03-25 |