| NPI | 1831118975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH ANN WHITE-MANESS Owner Operator 732-458-5885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ MC04315) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00786800) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-08-08 |