| NPI | 1881069359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW FIELDS Director 917-886-1430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ 40QA00926600) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |