| NPI | 1831879337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVIA WATTLES Owner/Provider 609-964-7901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2023-07-19 |