| NPI | 1326576372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESNER MENTOR President/Owner 561-810-8017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: FL 11422) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2017-06-02 |