| NPI | 1730131996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM F THIMMEL Treasurer 201-794-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01002900) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-08-22 |