| NPI | 1225357650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDEN ELLIOTT TEETS Sole Member 724-880-2989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC010272) |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2010-05-25 |