| NPI | 1558809764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE HOLAN Co Owner 973-769-8384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ 40QA01179300) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-02-08 |