NPI | 1265820484 |
---|---|
Entity Type | Organization |
Authorized Contact | BURGANDI COLLINS Chiropractor 757-927-9851 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: VA 0104557195) |
Enumeration Date | 2014-12-23 |
Last Update Date | 2014-12-23 |