| NPI | 1114058088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY BETH GOUKER Secretary 724-437-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: PA DC007421L) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2010-07-07 |