| NPI | 1659175404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANTRESA GREENIDGE Owner/Physical Therapist 857-206-0914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2025-04-02 |
| Last Update Date | 2025-04-02 |