| NPI | 1093990244 |
|---|---|
| Doing Business As | COLLEY AVENUE CHIROPRACTIC AND BODYWORKS |
| Entity Type | Organization |
| Authorized Contact | ELLEN E FITZENRIDER Owner 757-627-6357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-07 |