| NPI | 1629429642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN SAMILLANO MALALUAN Owner/Practitioner 201-357-5421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ 40QAO1144000) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2016-06-30 |