| NPI | 1447449566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUY A DITOMMASO Owner/Operator 856-216-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00194000) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00970400) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2008-05-21 |