| NPI | 1467798009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME G. LESACA Co Owner 201-446-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2013-01-01 |
| Last Update Date | 2013-07-08 |