NPI | 1528777398 |
---|---|
Doing Business As | MODERN CORE HEALTH AND WELLNESS |
Entity Type | Organization |
Authorized Contact | CORRINE LEIGH MACCHI PT, D PT 732-691-2820 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2022-11-21 |
Last Update Date | 2022-11-21 |