NPI | 1144068875 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER WINSA CHARLES Owner 908-803-6363 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2024-07-17 |
Last Update Date | 2025-01-29 |