| NPI | 1457905952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY SAUNDERS Billing Manager 732-812-0281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2019-08-01 |