| NPI | 1730522293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C. MOORE Owner 732-673-8678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ 40QA01021700) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2013-04-15 |