| NPI | 1851484380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ALTAGRACIA LANTIGUA Contract Manager 973-887-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00609800) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2019-01-16 |