| NPI | 1194231100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAE GIBSON President/Primary Provider 724-498-6141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: PA AK001255) |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2017-12-28 |