| NPI | 1952605792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CHILLEMI CEO 973-759-3020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ mc05321) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40qa01281000) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-01-10 |