| NPI | 1609060102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON SCOTT MATTHEWS Executive Director 973-771-1582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2022-10-25 |