| NPI | 1851058556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J LATZA Owner 908-558-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2021-11-17 |