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 |