NPI | 1144331034 |
---|---|
Entity Type | Organization |
Authorized Contact | SPENCER DANIEL JOHANSEN President 757-422-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104001208) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2007-12-07 |