| NPI | 1922150358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN MARC ZODKOY Owner 732-308-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor Nutrition (Licence: NJ 38MC00395200) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA00271700) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-09-24 |