| NPI | 1952852709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE LEE Owner 201-943-7768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00353600) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00636500) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |