| NPI | 1851196208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANAEL PARK Owner, Authorized Official, Provide 201-916-1681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2025-02-18 |
| Last Update Date | 2025-03-14 |