| NPI | 1750762563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE LOOBY Office Manger 973-345-1312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA005564) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-18 |