| NPI | 1366423949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRIN L. WASCHER Sole Member 570-494-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC-004739-L) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2007-12-21 |