| NPI | 1730760612 |
|---|---|
| Doing Business As | ACTIVE PHYSICAL REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | DIANE WILLIS-MOORE Supervisor/Biller 732-223-6309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2021-04-21 |