| NPI | 1235675992 |
|---|---|
| Other Name | IDEAL SPINE AND FUNCTIONAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | YOKE T TAN Owner 267-687-7875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: PA DC009450) |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-03-21 |