| NPI | 1407954563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MINEO Administrator 732-349-4170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00771300) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2013-03-19 |