| NPI | 1932694148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODY SANTOS Member 732-731-9652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ PT40QA00712500) |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2018-06-29 |