| NPI | 1972706455 |
|---|---|
| Doing Business As | BROADWAY PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL FENIGER Owner 201-437-0313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ QA03000) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2014-09-12 |