| NPI | 1346457199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON SEAN FAHS Physical Therapist 908-688-8628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ qao8393) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2008-06-13 |