| NPI | 1417053042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY J MCCALE Office Manager 304-295-5505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WV 702) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV 002160) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2008-04-20 |