| NPI | 1487841003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD CARNUCCI Chiropractor/Owner 908-928-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00568900) |
| 111NR0400X (Licence: NJ 38MC00568900) | |
| 225100000X Physical Therapist (Licence: NJ 40QA00838400) | |
| 225200000X Physical Therapy Assistant (Licence: NJ 40QA00704900) | |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2022-12-15 |