NPI | 1457450074 |
---|---|
Former Name | JULIA ANNE STELLUTO |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: NJ 38MC00675800) |
Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: NY X10208) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2011-10-29 |