| NPI | 1477227387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVI BAGLEY Owner, Physical Therapist 856-816-0695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2022-01-07 |