| NPI | 1578691275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE VANDELL Owner Physical Therapist 732-706-0776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00519300) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |