| NPI | 1295920270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKOLAI PUSHNYA Physical Therapist 201-265-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00873600) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-12 |