| NPI | 1366561672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA S PALMA Administrator 856-346-3823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00699400) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |