MEDICARE: CENTER FOR NATURAL HEALTH AND REHABILITATION INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	38MC00236400	NJ

General Provider Information

NPI Number	:	1356613384
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR NATURAL HEALTH AND REHABILITATION INC

Provider Business Mailing Address
First Line	:	1386 US HIGHWAY 22
Second Line	:
City	:	LEBANON
State	:	NJ
Zip	:	08833-2205
Country	:	US
Telephone Number	:	908-236-6353
Fax Number	:

Provider Business Practice Location Address
First Line	:	1386 US HIGHWAY 22
Second Line	:
City	:	LEBANON
State	:	NJ
Zip	:	08833-2205
Country	:	US
Telephone Number	:	908-236-6353
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. JODY LAWRENCE SERRA
Credential	:	D.C.
Telephone Number	:	908-236-6353

Provider Enumeration Date	:	02/07/2012
Last Update Date	:	02/07/2012

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