| NPI | 1225210453 |
|---|---|
| Doing Business As | CENTER IMT FAIR LAWN |
| Entity Type | Organization |
| Authorized Contact | DAVID BERENBAUM Physical Therapist 201-791-6351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2013-11-07 |