NPI | 1417171489 |
---|---|
Entity Type | Organization |
Authorized Contact | PRABHAKAR RAM Owner 201-217-1224 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: NJ MC005875) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2020-08-22 |