| NPI | 1780254862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE KIM CEO 201-785-7486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-06-30 |