| NPI | 1528660206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE CANNON Physical Therapist/Owner 609-707-2856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2020-11-09 |