| NPI | 1154544617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE L THERRIAULT Office Manager 928-442-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 8023 & 8024) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2008-03-17 |