| NPI | 1093036881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY SCOTT COHEN Owner/President 302-454-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: DE 2010103407) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2010-06-16 |