| NPI | 1710079454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT C THEURET President Physical Therapist 973-726-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01006600) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2016-07-28 |