| NPI | 1881053197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON M BROOKS Owner 732-567-5477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: NJ 38MC00697000) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-08-03 |