| NPI | 1205985975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK SEGRETO Director 732-270-6222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00346700) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ PTDPTQA08925) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |