NPI | 1265750665 |
---|---|
Entity Type | Organization |
Authorized Contact | A CARL GAUDIO Sole Member 724-309-4346 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: PA DC005644L) |
Enumeration Date | 2010-05-10 |
Last Update Date | 2010-05-10 |