| NPI | 1780743336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN T FORD Owner 973-579-1660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC02219) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00240000) |
| 225100000X Physical Therapist (Licence: NJ 40QA01033500) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2007-08-03 |