| NPI | 1861430357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELEAZAR A SARES Physical Therapist 732-290-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01134700) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2020-08-22 |