| NPI | 1376060731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN F. WARN Owner 646-294-7677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01056300) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NJ 40QA01056300) |
| Enumeration Date | 2017-08-26 |
| Last Update Date | 2022-07-21 |