| NPI | 1164198974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE SULLIVAN Practice Administrator And Owner 215-680-7030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2021-09-14 |