| NPI | 1861609059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE D PRON Owner 973-769-9405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00789100) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |