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General NPI Number Information
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NPI Number | 1982946646
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Entity Type | Organization
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Legal Business Name | THRIVE THERAPY CENTER
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Dates
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Enumeration Date | 03/20/2013
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Last Update Date | 05/07/2013
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Provider Practice Location Address
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Address Line | 30 N MAIN ST
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City | MARLBORO
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State | NJ
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Zip | 07746-1429
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Country | US
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Telephone | 732-866-1903
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 297
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City | MARLBORO
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State | NJ
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Zip | 07746-0297
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Country | US
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Telephone | 732-866-1903
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Fax |
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Authorized Official
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Title or Position | ASSOCIATE
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Name | DR. STEPHEN LOMANTO
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Credential | DC
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Telephone | 732-866-1903
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State | NJ
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