| NPI | 1326374570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICKLAUS DIZON Business Manager 201-451-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ 0400311785) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2009-10-22 |