| NPI | 1902111214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN BORRES President 201-558-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00766400) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2010-08-11 |