| NPI | 1558426098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH DESIDERIO Co Owner 732-615-9622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NJ 40QA00806100) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NJ 40QA00884200) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-08-22 |