| NPI | 1134389265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT R CORYELL Owner 570-223-7211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: PA DC003861-L) |
| Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: PA DC003859-L) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2008-06-12 |