| NPI | 1427360676 |
|---|---|
| Doing Business As | PEDIATRIC ADVANTAGE |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY O OKAY Clinical Direction 908-276-0237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| Enumeration Date | 2010-07-04 |
| Last Update Date | 2010-07-04 |