| NPI | 1871826198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT KHALAF Member 201-803-7695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2009-09-18 |