| NPI | 1982387015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATHENA POONACHA BOLLERA CEO 732-877-4799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation |
| Additional Taxonomies | 2251C2600X Physical Therapist, Cardiopulmonary |
| 2251G0304X Physical Therapist, Geriatrics | |
| 2251N0400X Physical Therapist, Neurology | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 2251S0007X Physical Therapist, Sports | |
| 2251X0800X Physical Therapist, Orthopedic | |
| 225200000X Physical Therapy Assistant | |
| 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing | |
| 225XG0600X Occupational Therapist, Gerontology | |
| 225XL0004X Occupational Therapist, Low Vision | |
| 225XM0800X Occupational Therapist, Mental Health | |
| 225XN1300X Occupational Therapist, Neurorehabilitation | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2024-04-19 |