| NPI | 1225261191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP NICOLAS Chiropractor/Owner 410-992-7730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD 03382) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2010-10-25 |