| NPI | 1801281472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY GERARD NORUM Physical Therapist 551-777-3502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ 40QA00798900) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2015-03-31 |