| NPI | 1316207632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLYDELL DEWBERRY Member Manager 405-639-7140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: FL CH9998) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-08-13 |