| NPI | 1356645824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE GRACE HICKEY President Owner 561-603-3454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH9005;) |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2021-09-15 |