NPI | 1174037071 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA PAPENBROCK Owner And Operator 315-730-0970 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC009882) |
Enumeration Date | 2017-11-30 |
Last Update Date | 2017-11-30 |