| NPI | 1053761544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA LYNN OTKEN President 727-265-0804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: OR 5644) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |