| NPI | 1649895590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN WALLENDER Phsical Therapist/Owner 609-364-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-06-16 |