| NPI | 1508635061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH LAGUMBAY President 201-885-9527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2023-12-26 |
| Last Update Date | 2024-07-08 |