| NPI | 1568790939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW S PERRONE Owner 1201-489-9555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00613400) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00541200) |
| 111N00000X Chiropractor (Licence: NJ CH9395) | |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2011-04-25 |