| NPI | 1245550342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN W EASTBURN President 732-370-7880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MCOO587700) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00931700) |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2010-06-11 |