| NPI | 1124156005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY G CARLUCCI Owner 973-744-9880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ mc04955) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2018-02-16 |