| NPI | 1174615041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUN MICHAEL BEZAK Chiropractor 301-220-0496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-09-10 |