| NPI | 1902426984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ANNE ANDERSON Managing Member/Owner 856-264-3740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2020-04-20 |