| NPI | 1669633285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY E BUCKLEY Physical Therapist 732-267-0852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 40QA00097700) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2009-06-02 |