| NPI | 1487743506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY SCOTT DAVIS Owner 973-233-1514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00979300) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |