| NPI | 1669307179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN VITUG Owner 973-298-0763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2026-06-16 |
| Last Update Date | 2026-06-16 |