| NPI | 1740946516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN PUPA JACONO President/Physical Therapist 908-581-6642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2021-12-15 |