| NPI | 1710282132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK R DUGO President 732-615-9420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 123123123123123) |
| Enumeration Date | 2011-01-15 |
| Last Update Date | 2011-01-15 |