NPI | 1407115934 |
---|---|
Doing Business As | PERFORMANCE CHIROPRACTIC AND SPORTS REHAB, PLLC |
Entity Type | Organization |
Authorized Contact | LAUREN BROOKE DUARTE Doctor 210-771-2136 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2012-05-03 |
Last Update Date | 2013-02-04 |