| NPI | 1235293697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RONALD VIRA Owner 215-328-9170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC006423L) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC006429L) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2011-09-12 |