| NPI | 1740712314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LATZA Owner 908-764-7704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2017-04-01 |
| Last Update Date | 2017-12-28 |