| NPI | 1235545260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHANNA ANDREA ESTRADA Office Manager 201-489-9555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00541200) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA07819000) |
| 207X00000X Orthopaedic Surgery (Licence: NJ 25MA06309600) | |
| 225100000X Physical Therapist (Licence: NJ 40QA01525400) | |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-07-10 |