| NPI | 1669917464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL AZAR Director Of Billing 201-362-2289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| 171100000X Acupuncturist | |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-03 |