| NPI | 1497226971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIEVIC BALAAG EBORA FERNANDO Manager 201-408-5016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 171100000X Acupuncturist |
| 225100000X Physical Therapist | |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2018-12-10 |