# MAXIMIZED LIVING & WELLNESS CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346401890
- **Authorized official:** DOUGLAS KANER DC (PRESIDENT)
- **Authorized official phone:** (201) 794-4500

## Contact information

- **Practice address:** 23-08 MAPLE AVE, FAIR LAWN, NJ 07410-1583
- **Practice address phone:** (201) 794-4500
- **Practice address fax:** (201) 794-4502
- **Mailing address:** 23-08 MAPLE AVE, FAIR LAWN, NJ 07410-1583
- **Mailing address phone:** (201) 794-4500
- **Mailing address fax:** (201) 794-4502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 2081N0008X | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081N0008X | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 06/18/2008
- **Last updated:** 11/18/2008