| NPI | 1316556822 |
|---|---|
| Doing Business As | EDMOND CHIROPRACTIC REHABILITATION PLLC |
| Entity Type | Organization |
| Authorized Contact | PAUL RAYMOND FRANK Chiropractor 608-445-9747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-07-30 |