NPI | 1174949929 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFF REBARCAK President 480-823-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: IL 038010607) |
Enumeration Date | 2014-03-17 |
Last Update Date | 2014-03-17 |