| NPI | 1124158902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY PATRICK GALLIVAN Owner 717-671-9141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA AJ-006596-L) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |