| NPI | 1053835926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR KENT ENNIS President 302-376-5830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: DE F1-0000721) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2020-04-23 |