| NPI | 1962425314 |
|---|---|
| Former Legal Business Name | PRO SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JODI E DEVINCENTIS President 973-895-9925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2010-10-29 |