| NPI | 1326629627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS GUTIERREZ Member 908-224-4252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2021-04-19 |