| NPI | 1255357950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIAGELIA NERVEZ President 732-545-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00731700) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2023-06-13 |