| NPI | 1104037852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS S CRIVELLI Clinic Director 301-474-5505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: MD S02085-PT) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2010-06-30 |