| NPI | 1306665989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD BUTLER Managing Member 201-651-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2025-01-08 |