| NPI | 1902267263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HERNANDEZ Managing Director 201-472-8828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01620600) |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |