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 |