| NPI | 1326759838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARON KIM Provider 201-527-5514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2023-08-01 |