| NPI | 1457621476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEE N PARK Member Of LLC 732-342-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01354500) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-06 |