| NPI | 1649447988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN IRELAND Owner 908-203-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01088500) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: NJ 40QA01088500) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NJ 40QA01088500) | |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2022-11-18 |