| NPI | 1194913418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL FORLENZA President 859-393-5905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2007-10-11 |