| NPI | 1508256686 |
|---|---|
| Other Name | LIGHTPORT PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | JOHN DE HOYOS Director Physical Therapist 201-377-8389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ 40Q01237600) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2015-01-28 |