| NPI | 1053996413 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DARRIEN DRUMMOND Chiropractor 443-880-8832 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 111N00000X Chiropractor | 
| Additional Taxonomies | 225200000X Physical Therapy Assistant | 
| Enumeration Date | 2021-03-16 | 
| Last Update Date | 2021-03-16 |