| NPI | 1538733449 |
|---|---|
| Former Legal Business Name | JOHN LY, PT PC |
| Entity Type | Organization |
| Authorized Contact | JOHN LY CEO 201-982-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2021-06-01 |