| NPI | 1508535428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD A MINGIN CEO 856-500-3331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2024-07-08 |