| NPI | 1386162832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CARL PERALTA PINEDA President / CEO 917-618-9881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01347600) |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2019-01-10 |