The Source Wellness Center LLC
NPI #1396217527 in Rahway, New Jersey
Provider Information
- NPI Number
- 1396217527
- Entity Type
- Organization
- Organization Name
- The Source Wellness Center LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Dec 28, 2018
- Last Updated
- Dec 28, 2018
Practice Location
- Address
- 1275 WESTFIELD AVE STE 1
- City
- Rahway
- State
- New Jersey
- ZIP Code
- 07065-1900
- Phone
- (732) 978-0951
Authorized Official
- Name
- DR. KYLE BILQUIST, D.C.
- Title
- OWNER
- Phone
- (732) 978-0951
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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