| NPI | 1962565424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANIA GARCIA Billing Manager 973-366-7413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01039500) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |