| NPI | 1659523371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA SPEARS Office Manager 732-741-0678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00544800) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00369200) |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2008-10-13 |