| NPI | 1851935837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH JIMENEZ Authorized Representative 732-780-6230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 171100000X Acupuncturist |
| 225100000X Physical Therapist | |
| 111N00000X Chiropractor | |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2019-11-01 |