| NPI | 1366655094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A. HALL Owner 239-540-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: FL ch6817) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |