| NPI | 1447628581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN BASINGER Owner 908-427-5233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| 2086S0129X | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363L00000X Nurse Practitioner | |
| 111N00000X Chiropractor | |
| 171100000X Acupuncturist | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| Enumeration Date | 2015-09-07 |
| Last Update Date | 2020-07-06 |