| NPI | 1235325390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMITA L BRYANT Owner 732-219-7730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ MA69168) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2007-10-10 |