| NPI | 1396329025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN LYNN RHEEDER Owner 973-896-4159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2021-05-10 |