| NPI | 1982498515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE SCHAFFER Admin 732-982-3602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225100000X Physical Therapist | |
| Enumeration Date | 2025-04-08 |
| Last Update Date | 2025-12-04 |