| NPI | 1043822968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PORCARO Owner 201-947-7805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-08-21 |