| NPI | 1306372040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA WALK Physical Therapist 732-207-9401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1232272) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |