| NPI | 1356312615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S RUSSO Owner 201-792-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ 40QA00991200) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2020-08-22 |