| NPI | 1639261399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMON DAURA Owner 973-237-1975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ 40QA00548200) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2012-02-03 |