| NPI | 1972650331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA JOAN LENNOX Director 732-780-4413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00189200) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2008-01-23 |