Organization
ELITE PERFORMANCE CHIROPRACTIC AND PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN T LACOGNATA DC (OWNER / CHIROPRACTOR)
(732) 970-6848
Entity
Organization
Contact information
Practice address
1061 ROUTE 34 STE B, ABERDEEN, NJ 07747-2171
(973) 970-6848
(973) 970-6849
Mailing address
252 NOTTINGHAM RD, MORGANVILLE, NJ 07751-9517
(732) 441-9898
(732) 441-9555
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00470000
NJ
225100000X
Physical Therapist
40QA00491800
NJ
225100000X
Physical Therapist
40QA01427400
NJ
225100000X
Physical Therapist
40QA01576500
NJ
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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