| NPI | 1447379177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CHICKARA Director 732-780-6230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00653500) |
| Additional Taxonomies | 171100000X Acupuncturist |
| 225100000X Physical Therapist | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2019-02-03 |