| NPI | 1265702625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS J FERGUSON Chiropractor 610-850-4530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC010286) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC003920L) |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2012-01-03 |