| NPI | 1669859773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH GRAZIANO Owner 908-670-1086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NJ 46TR00084800) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NJ 46TR00084800) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2015-04-29 |