| NPI | 1457791709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED COOPER Owner, Member 732-991-4999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01463800) |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2022-04-25 |