| NPI | 1316527633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL BOTROS Owner 732-725-7040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 251E00000X Home Health |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2021-04-11 |
| Last Update Date | 2021-04-11 |