| NPI | 1053852764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY REBARCAK Owner 480-302-1102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: IL 038.012864) |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-03-21 |