| NPI | 1891988291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD J LAVIGNE Owner 908-766-5663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ MC 04886) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ QA09583) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2018-11-05 |