| NPI | 1902515059 |
|---|---|
| Doing Business As | ST, MICHAEL PHYSICAL THERAPY PC |
| Entity Type | Organization |
| Authorized Contact | JOSEPH WELLEN Provider 201-888-1549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2022-11-17 |