| NPI | 1528077005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYRA LUPO President/Owner 732-548-1223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00289200) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-08-22 |