| NPI | 1518596808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE MARIE LEDDA Director 201-713-8367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2020-04-07 |