| NPI | 1639516297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN TALTY President 201-240-0313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NJ 40QA01251900) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-05-22 |