| NPI | 1306367248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCO CHIABO Owner 551-486-6157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 0400319126) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 029622) |
| 225100000X Physical Therapist (Licence: NJ 40QA01345700) | |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2022-07-21 |