| NPI | 1306159900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE OLSON Advisor 678-905-0799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: GA CHIR008150) |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2014-03-20 |