| NPI | 1558406686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID VRSALOVIC Owner 973-509-0827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40qa01116800) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NJ 25mz00038000) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2015-09-25 |