| NPI | 1871694885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ROMMER IGNACIO Owner 973-616-7117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01051300) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |