| NPI | 1821542192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN LATZA Manager 908-764-7704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2017-02-27 |