NPI | 1144326356 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY STEVEN FEDORKO Chiropractor Owner 330-494-0422 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 919) |
Enumeration Date | 2006-09-15 |
Last Update Date | 2020-08-22 |