| NPI | 1275500027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS G RIDENOUR Owner/Chiropractor 814-696-3531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC001316L) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 2858) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2010-03-22 |