| NPI | 1053618256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN BLAKE Chiropractor/Owner 862-209-4888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00463500) |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2011-02-24 |