| NPI | 1013584507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER BONIN President 602-603-1490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2022-09-20 |