| NPI | 1033541495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL ANTICO Owner 443-259-0235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: MD S01939) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-08-07 |