| NPI | 1992055586 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SHERWIN R. SANTOS Director 201-661-0911 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA07859) | 
| Enumeration Date | 2012-09-11 | 
| Last Update Date | 2012-09-11 |