| 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 |