| NPI | 1699794784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN DONOGHUE Owner 856-845-1253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00400900) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2009-05-21 |