NPI | 1306231527 |
---|---|
Entity Type | Organization |
Authorized Contact | GABRIEL HANNAWI Owner/Director 862-239-1768 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00715100) |
225100000X Physical Therapist (Licence: NJ 40QA01425800) | |
225X00000X Occupational Therapist | |
Enumeration Date | 2015-04-03 |
Last Update Date | 2023-12-19 |