NPI | 1518017144 |
---|---|
Former Legal Business Name | JAG PHYSICAL THERAPY LLC |
Entity Type | Organization |
Authorized Contact | JOHN ANTHONY GALLUCCI Owner 973-669-0078 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01172700) |
Enumeration Date | 2007-01-12 |
Last Update Date | 2019-08-06 |