NPI | 1184181331 |
---|---|
Former Legal Business Name | PRO PERFORMANCE CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | DEREK SMITH President 317-993-3361 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
Enumeration Date | 2019-02-25 |
Last Update Date | 2019-02-25 |