| NPI | 1851271183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE-ANN LLANES Owner Provider Authorized Official 201-589-0656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2025-09-05 |
| Last Update Date | 2025-09-18 |