| NPI | 1912271230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ANTHONY SICONOLFI Owner 973-472-7465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00570300) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NJ 38MC00672000) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2012-03-05 |