NPI | 1063833283 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVE VINCENT COLACURCIO Owner/President 973-228-2481 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00668500) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01411800) |
Enumeration Date | 2013-12-16 |
Last Update Date | 2015-11-19 |