| NPI | 1104194901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEA C LEWIS Owner Chiropractor 313-724-1792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301007082) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2011-12-07 |