| NPI | 1689769754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRMA TETRUASHVILY Physical Therapist Owner 856-985-5428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00988600) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |