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 |