| NPI | 1508195009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW AYLETT Owner 732-292-4680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ 46TR00207900) |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2012-02-02 |