| NPI | 1184371684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH S NIERODA President 862-237-9896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2022-03-04 |