| NPI | 1750872719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MANNO Owner 973-345-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ 38MC0052900) |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2022-10-19 |