| NPI | 1295008183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREI MONTEMAYOR MANALANG Owner/Sole Member 201-266-4695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NJ 40QA00694800) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-02-23 |