| NPI | 1407180698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIVINE OCAMPO RODRIGUEZ President /Physical Therapist 1732-549-3993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ PT40QA008339000) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2009-09-22 |