| NPI | 1497320550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENUKA Y THAKUR Owner 856-364-1656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2021-05-21 |