| NPI | 1063287787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER DICKINSON Owner 225-281-0269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-11-22 |
| Last Update Date | 2023-11-22 |