| NPI | 1962410621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALPHONSE LEPIS Owner 732-223-2873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NJ 25MA07363300) |
| Additional Taxonomies | 208VP0000X |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2010-03-16 |