| NPI | 1972936417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY O'CONNOR Sole Member 973-949-3927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01348800) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2014-01-24 |