Organization
ADVANCED THERAPY AND CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN PAVLAK DC (CHIROPRACTIC/PARTNER)
(973) 616-4555
Entity
Organization
Contact information
Practice address
18 NEWARK POMPTON TPKE, RIVERDALE, NJ 07457-1141
(973) 616-4555
Mailing address
18 NEWARK POMPTON TPKE, RIVERDALE, NJ 07457-1141
(973) 616-4555
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
171100000X
Acupuncturist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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