| NPI | 1194001669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS MUNTEAN Owner 740-592-4229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 225100000X Physical Therapist |
| 111N00000X Chiropractor | |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2018-10-17 |