| NPI | 1912328873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIANCA MCCALL Owner 908-397-8538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2013-12-19 |