| NPI | 1841787645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL AZAR Billing Director 201-857-0527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| 171100000X Acupuncturist | |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2024-05-06 |