| NPI | 1073717294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN E. MANZO Owner Clinic Director 732-528-5533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2009-03-04 |