| NPI | 1386842110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDILBERTO O ESTOMO Owner 201-244-8550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00520400) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2008-02-22 |