| NPI | 1861543522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL HOUSHMAND Owner 973-486-0212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00567300) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00459400) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |