| Organization Name: | CORNERSTONE PHYSICAL THERAPY HEALTH AND WELLNESS CENTER, PC |
| NPI Number: | 1023244738 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID DE LA FUENTE (PRESIDENT/PHYSICAL THERAPIST) |
| Mailing Address: | 77 Brant Ave Suite 101 Clark |
| State: | NJ US |
| Postal Code: | 070661560 |
| Phone Number: | 7324994540 |
| Fax Number: | 7324994577 |
| NPI Enumeration Date: | 06/09/2009 |
| NPI Last Update Date: | 06/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |