| NPI | 1275736696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY A BACKENSTOE Billing De PT 610-751-1289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC001547L) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2011-10-19 |