| NPI | 1710505920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM FREITAG Managing Member 609-678-5553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-08-18 |