| NPI | 1790991644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE GOSWEILER Physical Therapist 856-371-0459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00671100) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-08-22 |