# CENTER FOR THE FUNCTIONAL RESTORATION OF THE SPINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CFRS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407347875
- **Authorized official:** MR. STEVEN ANTIERI (PRACTICE ADMIN)
- **Authorized official phone:** (732) 380-1212

## Contact information

- **Practice address:** 1131 BROAD ST STE 201, SHREWSBURY, NJ 07702-4368
- **Practice address phone:** (732) 380-1212
- **Practice address fax:** (732) 380-1372
- **Mailing address:** 1131 BROAD ST STE 201, SHREWSBURY, NJ 07702-4368
- **Mailing address phone:** (732) 380-1212
- **Mailing address fax:** (732) 380-1372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 26NJ00662400 | NJ | Yes |

## Other

- **Enumeration date:** 05/22/2018
- **Last updated:** 05/22/2018