| NPI | 1306891544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD THERKELSEN Owner 732-290-8950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00166700) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00984400) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-08-22 |