NPI | 1407272453 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL WALTER DIMARCO Owner 732-665-6334 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00709900) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01539300) |
Enumeration Date | 2014-03-14 |
Last Update Date | 2014-11-10 |