| NPI | 1558790725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA GAVRIELIDES Operations Manager 732-219-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QB00303100) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2013-11-07 |