NPI | 1760807473 |
---|---|
Entity Type | Organization |
Authorized Contact | BRET RICKARD President 201-670-0864 |
Organization Subpart ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics |
Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics |
235Z00000X Speech-Language Pathologist | |
Enumeration Date | 2014-03-04 |
Last Update Date | 2014-03-06 |