Organization
DIVINE CHIROPRACTIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN CALIXTO DC (CHIROPRACTOR)
(973) 494-4533
Entity
Organization
Contact information
Practice address
221 KEARNY AVE, KEARNY, NJ 07032-2437
(973) 494-4533
Mailing address
PO BOX 4, BELLEVILLE, NJ 07109-0004
(973) 494-4533
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00638600
NJ
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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