| NPI | 1831833979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE BEVACQUA Owner/Managing Member 732-610-6182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2022-04-25 |