NPI | 1972058659 |
---|---|
Entity Type | Organization |
Authorized Contact | OSARUMEN IGBINOSUN Owner 848-467-0383 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NJ 40QA01378500) |
Enumeration Date | 2016-08-23 |
Last Update Date | 2016-10-13 |