| NPI | 1902255680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDILBERTO ORCULLO ESTOMO Owner 201-951-7534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ 40QA00520400) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-06-03 |