| NPI | 1740665199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY S GURRERE Owner 732-818-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01371700) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00561500) |
| 171100000X Acupuncturist (Licence: NJ 25MZ00116800) | |
| 171100000X Acupuncturist (Licence: NJ 25MZ00111700) | |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2017-09-21 |