| NPI | 1588719827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VSEVOLOD ELKANOVICH President 732-370-4855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01095600) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2019-11-01 |