| NPI | 1912272519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE SADON Manager 732-972-6010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40qa01383500) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38mc00423200) |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-15 |