| NPI | 1659774875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL VIDAIC Co Owner 201-264-8652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00904900) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2014-10-01 |