| NPI | 1902102577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM LUDOVICO Ms PT 856-769-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ 40QA00749600) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: PA PT005800L) |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2011-01-31 |