| NPI | 1205509965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENGY KERIACOS Office Administrator 201-778-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| 2251G0304X Physical Therapist, Geriatrics | |
| 2251S0007X Physical Therapist, Sports | |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2021-07-28 |