| NPI | 1366516494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANDREW CREGLE Owner 732-546-7073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ 40QA00646600) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2008-08-21 |