| NPI | 1639492507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J SIMON Managing Member 973-366-6615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2010-03-08 |