| NPI | 1720612328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY DONG Office Manager 848-565-4819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2020-02-28 |