| NPI | 1497025522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA GRANT President 732-414-6499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ 40qa01383500) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2012-01-05 |