| NPI | 1033256540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA L FORREST Office Manager 610-929-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC003941L) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2017-12-28 |