| 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 |