Organization
IGNITE SPINE AND SPORTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT PEARSALL DC (CHIROPRACTOR)
(908) 795-1999
Entity
Organization
Contact information
Practice address
571 CENTRAL AVE STE 103, NEW PROVIDENCE, NJ 07974-1547
(908) 795-1999
(908) 279-8531
Mailing address
2692 FARVIEW DR, MOUNTAINSIDE, NJ 07092-1326
(908) 795-1999
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/16/2019
Last updated
11/26/2019
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