| NPI | 1326597626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SITHARI EDIRISOORIYA C.E.O. 330-501-5136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: AZ 8429) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-27 |