| NPI | 1982431268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CHARLES Owner 908-803-6363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| 225100000X Physical Therapist | |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2025-07-22 |