| NPI | 1689904807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN B GORNELL President 201-780-9691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NY 024310) |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2010-01-11 |