| NPI | 1649590035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON WENTWORTH Owner 732-544-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2017-03-13 |