| NPI | 1992838643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH THOMAS DEROSA President 609-601-6140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00872300) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2022-09-12 |