| NPI | 1831322940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANISHA KHANDELWAL Owner 732-423-9094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: NJ 40QA00963100) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ 40QA00963100) |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: NJ 46TR00512500) | |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2010-07-20 |