| NPI | 1982953071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVA MOHANTY President/Owner 732-910-3995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01061600) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2017-03-14 |