| NPI | 1972783934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIC MARIANI Owner 856-488-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: NJ 38MC00387000) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: NJ 38MC00349500) |
| 111NR0400X Chiropractor, Rehabilitation (Licence: NJ 38MC00319800) | |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2007-11-07 |