| NPI | 1982366571 |
|---|---|
| Doing Business As | SPORT REHAB CHIRO P.C. |
| Entity Type | Organization |
| Authorized Contact | RICHARD LEE Owner 201-220-2245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2022-01-03 |