| NPI | 1285201392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MERCADO Managing Director 201-564-7515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2021-06-07 |