| NPI | 1417354481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYA R THERATTIL Director 609-216-9422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA07576900) |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-11-19 |