| Organization Name: | BRICK PAIN RELIEF AND WELLNESS, INST. |
| NPI Number: | 1952463267 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM WALSH (CHIROPRACTOR) |
| Mailing Address: | 2095 Route 88 Brick |
| State: | NJ US |
| Postal Code: | 087243265 |
| Phone Number: | 7328995400 |
| Fax Number: | 7328999288 |
| NPI Enumeration Date: | 12/14/2006 |
| NPI Last Update Date: | 06/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MB53521 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |