| NPI | 1487682597 |
|---|---|
| Doing Business As | SPORTS TRAINING PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | MAUREEN BRODERICK WILHELM Owner 973-467-7976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00333800) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2020-08-22 |