| NPI | 1386082493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE THOMPSON Owner/Chiropractor 4040-369-0998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: GA CHIR008987) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2013-06-11 |