| NPI | 1821349911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD E SCHRAGEN Owner 973-758-1501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2020-08-05 |