NPI | 1104069699 |
---|---|
Entity Type | Organization |
Authorized Contact | DENNIS GOULDBOURNE Chiropractor 954-805-3553 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: FL CH9067) |
Enumeration Date | 2009-04-13 |
Last Update Date | 2009-04-13 |