| NPI | 1881760627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TSAMBIKOS A DIMITRAKIS President/Owner 973-325-7212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00442100NJ) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00442100) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2011-05-06 |