| NPI | 1255682761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA ANN HINE Office Manager 740-753-1902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 2400) |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2013-01-22 |