| NPI | 1467800318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GISELLE MARIE TADROS Owner 201-388-0312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NJ 40QA01129400) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-01 |