| NPI | 1457079733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IZABELLI CRISTINNI DA SILVA MUNIZ AMBROZIO CEO 908-274-7806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2022-08-22 |