| NPI | 1982158259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LATZA Manager 908-322-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-08-04 |