| NPI | 1285118299 |
|---|---|
| Doing Business As | GOOD SHEPHERD PHYSICAL THERAPY PLLC |
| Entity Type | Organization |
| Authorized Contact | JONATHAN LAQUI D PT 201-660-0968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2021-10-12 |