| NPI | 1013559020 |
|---|---|
| Doing Business As | INTEGRATED PHYSICAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JONATHAN MARK POLCYN Co Owner/Clinic Director 331-249-3999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2020-02-28 |