NPI | 1306500061 |
---|---|
Entity Type | Organization |
Authorized Contact | DEREK FERGUSON Owner 201-716-9199 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation |
Enumeration Date | 2021-10-28 |
Last Update Date | 2021-10-28 |