| NPI | 1205024015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MARIE VAUGHN Chiropractor 570-343-5949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC009839) |
| Additional Taxonomies | 111NX0100X Chiropractor, Occupational Health (Licence: PA AJ009652) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2007-10-05 |