NPI | 1104590264 |
---|---|
Entity Type | Organization |
Authorized Contact | LAUREN ASHLEY DAVIS Co Owner / Member 856-332-1151 |
Organization Subpart ? | No |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
Enumeration Date | 2021-08-03 |
Last Update Date | 2021-08-03 |