| NPI | 1861966129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW ALLEN Member/Director 201-658-5056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics |
| 2251N0400X Physical Therapist Neurology | |
| 2251X0800X Physical Therapist Orthopedic | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-01-23 |