| NPI | 1174719744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH T CANOVA Owner 201-798-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00326300) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00710000) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2023-10-19 |