| NPI | 1871775684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN LOVE Owner 732-749-3053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ 40qa00884600) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2007-12-04 |