| NPI | 1265748750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE R DUBNOFF Sole Member 732-451-1229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111NR0400X |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2012-06-21 |