| NPI | 1275028771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISHLA REDDY KANTHALA Owner 732-692-0542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MB10244400) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-07-31 |