| NPI | 1881768232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE AMY LONG Physical Therapist 732-680-9561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ QA40011679) |
| Enumeration Date | 2006-11-19 |
| Last Update Date | 2008-06-20 |