| NPI | 1891064168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANU GUPTA Owner 856-577-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX N4446) |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2011-12-15 |