| NPI | 1467512400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN RICHARD RAY Owner 856-629-1199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00304600) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00304500) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2010-12-14 |