| NPI | 1760855712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN A DAVIS Director 908-403-3273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ QA00755700) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2015-11-12 |