| NPI | 1417617309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARISSA ANNE GUSSMANN Manager/Owner 908-770-5990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2021-12-20 |