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 |