| NPI | 1124771118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA ANN PORTER Chiropractic Physician 937-825-0788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2022-01-31 |