| NPI | 1356973267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC D WOLK Owner 570-575-5414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-02-08 |
| Last Update Date | 2020-02-08 |