NPI | 1497218044 |
---|---|
Doing Business As | WOLVES |
Entity Type | Organization |
Authorized Contact | ERNEST S EUSEBIO Founder 201-855-9681 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2019-04-10 |
Last Update Date | 2019-04-10 |