| NPI | 1871762682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGARDO RAFAEL MARTES Physical Therapist 732-925-9374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |