| NPI | 1992237598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BLUMBERGER Managing Member 732-204-7741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01328500) |
| Enumeration Date | 2017-04-02 |
| Last Update Date | 2017-06-29 |