NPI | 1225675903 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS DANDREA Owner 732-863-7400 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2019-12-02 |
Last Update Date | 2019-12-02 |