NPI | 1376185595 |
---|---|
Doing Business As | OPTIMAL PERFORMANCE CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | GRAIG HARRIS SHAPIRO Owner 716-410-5566 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician |
Enumeration Date | 2019-10-09 |
Last Update Date | 2019-10-09 |