| NPI | 1386120004 |
|---|---|
| Doing Business As | INTEGRATIVE PHYSICAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MARC OTT CEO 321-262-0082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2019-08-12 |