| NPI | 1578804605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH SIMON Owner 866-871-6229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 40QA01445800) |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2013-03-14 |