| NPI | 1326155748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE LYNN FASS Owner Physical Therapist 908-852-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00717500) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-08-22 |