| NPI | 1215327408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE MENDOZA Doctor Of Physical Therapy 201-963-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: NJ 38MC00704200) |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2019-01-14 |