| NPI | 1124313531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL SULSENTI Member 732-477-5888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2011-06-14 |