| NPI | 1851455562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON TODD LEVY Owner 973-467-9011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01072600) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ MC4865) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00276900) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2025-09-11 |