NPI | 1154721900 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANK J GAROFALO CEO 888-418-6244 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E1174) |
Additional Taxonomies | 111NX0800X Chiropractor Orthopedic (Licence: CA DC 22101) |
Enumeration Date | 2014-08-29 |
Last Update Date | 2014-08-29 |