| NPI | 1235515529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGNIESZKA MIKA Physical Therapist 908-583-4391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01486500) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2015-09-14 |