| NPI | 1104129386 |
|---|---|
| Doing Business As | CHIROPRACTIC SPINE & SPORTS REHAB |
| Entity Type | Organization |
| Authorized Contact | SHAY W CORBIN President 225-924-3989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2012-01-05 |