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 |