| NPI | 1174868889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACI ADDESSI Owner 732-739-3345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2012-12-06 |