| NPI | 1457920118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALEEL ABDUL-JABBAAR Physical Therapist 857-204-6228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2021-06-17 |