| NPI | 1043680234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALIE A MOESER Owner 571-426-5176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: AZ 8492) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2016-06-16 |