| NPI | 1770632390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN KNOWLES CHURCHILL Owner 201-833-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ 40QAO3114) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |