| NPI | 1447448642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA J EISEN Administrator 201-337-8410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00214600) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2012-03-30 |