| NPI | 1235646159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE DWAILEEBE Owner 201-937-2758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 40QA01231600) |
| Enumeration Date | 2017-12-30 |
| Last Update Date | 2018-05-29 |