NPI | 1710273503 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA EILEEN WILSON Owner 732-842-7004 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: NJ 38MC00385100) |
Additional Taxonomies | 174400000X Specialist (Licence: NJ 40QA01025400) |
Enumeration Date | 2011-06-21 |
Last Update Date | 2011-11-09 |