| NPI | 1215327408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUMMEL G. MENDOZA Owner 201-963-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2025-10-02 |