| NPI | 1588114680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN BURTON Physical Therapist 201-880-9810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NJ 40QA01675600) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2016-10-12 |