| NPI | 1952346355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL Q. CERULLO Owner/Operator 973-746-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ QA08051) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ QA10818) |
| 225100000X Physical Therapist (Licence: NJ QA08619) | |
| 225XH1200X Occupational Therapist, Hand (Licence: NJ TR01594) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2015-09-22 |