| NPI | 1346252004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH MARIE CASSIDY Owner/Doctor 570-409-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: PA DC006974-2) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC008926) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2008-05-07 |