| NPI | 1700310083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY GONZALEZ Authorized Official 973-227-7277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00409000) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00176500) |
| 235Z00000X Speech-Language Pathologist (Licence: NJ 41YS00321100) | |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2018-06-22 |