| NPI | 1972716769 |
|---|---|
| Doing Business As | MAPLE LEAF PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | ENRICO MICHAEL DELLAGATTA CEO 609-561-1974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00109200) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2008-04-20 |