| NPI | 1699037861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT TUCKER President 973-928-6969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ 40QA00876900) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2012-06-13 |