| NPI | 1841570884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL WEBER Owner 732-533-5193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: NJ 40QA01157400) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2012-05-11 |