| NPI | 1285322214 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | EVAN T WILLIAMS Owner 201-334-7106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2023-04-27 |