| NPI | 1689569618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL THAKORE Managing Member/Owner 201-230-5837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-08-14 |