| NPI | 1376604041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS E. HARY Clinic Director 732-442-1170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00466900) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00561900) |
| 225100000X Physical Therapist (Licence: NJ 40QA01253900) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2008-08-22 |