NPI | 1336590652 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES BRONDER President 973-851-9188 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2016-06-28 |
Last Update Date | 2016-06-28 |