| NPI | 1245574367 |
|---|---|
| Doing Business As | OPTIMAL PERFORMANCE CENTER |
| Entity Type | Organization |
| Authorized Contact | BRIAN ANDREW LAIDERMAN Chiropractic Physician/Owner 636-778-9997 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2012014238) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2013-07-02 |