| NPI | 1407637390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW W FUNG Owner/Physical Therapist 973-809-7435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251N0400X Physical Therapist, Neurology | |
| 2251S0007X Physical Therapist, Sports | |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2024-01-01 |