| NPI | 1457780421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY BEREDO Physical Therapist/CEO 201-354-9580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 40QA01002900) |
| Enumeration Date | 2013-11-11 |
| Last Update Date | 2013-11-11 |