| NPI | 1497144364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER R CARROLL Office Rep 352-942-1204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00722400) |
| Additional Taxonomies | 171100000X Acupuncturist |
| 225100000X Physical Therapist | |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2015-01-15 |