| NPI | 1326386566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN M. GODFREY Owner 609-510-4761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MB07600800) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2013-01-23 |