| NPI | 1346763489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SOYOUNG LEE Owner 201-894-5451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: 40QA01076000) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2022-01-06 |