| NPI | 1750550604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VARLEISHA D GIBBS President 973-800-6291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: NJ 46TR00328300) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NJ 46TR00328300) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2009-12-03 |