| NPI | 1265836787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN BARR Office Manager 732-688-3618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA0671900) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SCO1462000) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2016-11-07 |