| NPI | 1407745185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE BILQUIST Owner 732-732-3379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-06-30 |