| NPI | 1104391515 |
|---|---|
| Doing Business As | HEALTHSOURCE OF ROCKY RIVER |
| Entity Type | Organization |
| Authorized Contact | CORY RANDALL LAMAR Owner 440-308-7592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2018-12-03 |