Organization
KINETIC PHYSICAL THERAPY AND SPINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN COSTA DC (PRESIDENT)
(732) 495-0905
Entity
Organization
Contact information
Practice address
199 MAIN ST, KEANSBURG, NJ 07734-1734
(732) 495-0905
Mailing address
199 MAIN ST, KEANSBURG, NJ 07734-1734
(732) 495-0905
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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