| NPI | 1497291728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCELYNN ROMAN Director Of Operations 201-746-6577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2025-07-07 |