| NPI | 1730545880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL D WERNER Representative 609-799-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00710300) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-01-05 |