| NPI | 1215223854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA SQUICCIARINI Physical Therapy 732-294-0383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00460300) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2012-04-15 |