| NPI | 1124544499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S. DECRISCIO Member 301-922-6188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: NC 4670) |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2018-05-20 |