| NPI | 1497958326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THUONG LEDINH Owner 732-548-7887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: NJ 25MA04182100) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2013-03-01 |