| NPI | 1225766603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO BARRESE Owner 973-349-3350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-08-12 |
| Last Update Date | 2022-08-12 |