NPI | 1063644847 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANIE MARIE HATH President/Doctor 612-207-1322 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH9762) |
Enumeration Date | 2009-08-13 |
Last Update Date | 2009-08-13 |