| NPI | 1740657964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP DAWSON Credentialing Specialist 856-677-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2019-09-23 |