| NPI | 1497515621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEONJOONG LEE President 201-815-3969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2024-03-22 |