| NPI | 1558182717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR SHEVARDNADZE Chief Operating Officer 908-447-5260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-10-21 |
| Last Update Date | 2024-10-21 |