| NPI | 1275027799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA A GRANDO Director Of Nursing 732-508-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01560400) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00730700) |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2020-06-18 |