NPI | 1255664355 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALDO PORTUGUEZ Manager 609-233-5056 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01095400) |
Enumeration Date | 2009-09-08 |
Last Update Date | 2009-09-08 |