| NPI | 1336466671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH A LANTIGUA Contract Manager 973-887-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225XH1200X Occupational Therapist Hand | |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2017-09-20 |