| NPI | 1851443964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA PERILLO Part Owner 973-472-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2008-06-18 |