| NPI | 1962763854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIHIR PATEL Owner 732-642-7641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ 40QA01440700) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2012-06-06 |