| NPI | 1407918600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARLO COHEN Chiropractor 732-303-1425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ QA07415) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00452200) |
| 225100000X Physical Therapist (Licence: NJ 40QA01003200) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2009-07-07 |