| NPI | 1659785061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MERCADO President 201-438-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NJ 40QA00805300) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2014-06-12 |