| NPI | 1053156224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW JOHN GRANT Beneficial Owner 440-221-2251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0100X Chiropractor Occupational Health |
| Enumeration Date | 2024-06-28 |
| Last Update Date | 2024-06-28 |