| NPI | 1548740087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE HANCOCK Office Manager 973-851-5939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01004800) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |