| NPI | 1639408305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA SHALLONIS Billing De PT 732-972-5172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 112714-1) |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2009-12-09 |