| NPI | 1306029012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL JACOB BOSTON General Partner/ Chiropractor 724-840-2868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: PA DC009873) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2007-12-17 |