| NPI | 1629569942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA HERITAGE Physical Therapy 856-210-3517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ PT40QA01426900) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2024-05-05 |