| NPI | 1467889600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN DIGREGORIO Partner 347-351-7103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01232200) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 018882) |
| 225X00000X Occupational Therapist (Licence: NJ 46TR00330600) | |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |