| NPI | 1699287003 |
|---|---|
| Former Legal Business Name | MAIN SPINE AND REHAB LLC |
| Entity Type | Organization |
| Authorized Contact | JAMES MARSHALL Chiropractor 973-523-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00508700) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2018-06-16 |