NPI | 1154824274 |
---|---|
Entity Type | Organization |
Authorized Contact | STEWART PETERS Chiropractor 704-901-7192 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 3772) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P15776) |
Enumeration Date | 2018-03-15 |
Last Update Date | 2018-03-15 |