| NPI | 1346714763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN N PENN Owner/Physical Therapist 732-908-0728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-01-18 |