NPI | 1164090445 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHON JACOB WARNINGER Owner/Chiropractor 570-644-8120 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Additional Taxonomies | 111NX0800X Chiropractor, Orthopedic |
Enumeration Date | 2021-06-14 |
Last Update Date | 2022-11-18 |