| NPI | 1477712263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLO MAGNO B DECASTRO Owner 908-344-2084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01118800) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2015-10-15 |