| NPI | 1740157999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A CHO Owner 201-472-8900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 225X00000X Occupational Therapist | |
| 225100000X Physical Therapist | |
| 111N00000X Chiropractor | |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2025-10-22 |
| Last Update Date | 2025-10-22 |