| NPI | 1578936167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KISHORE KANDURI Owner 201-957-5864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 015851) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |