| NPI | 1366743387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN ATEXIDE Owner 973-748-9986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ 40QA01330900) |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2010-11-08 |