| NPI | 1417162264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANA MARIE BURD Co Owner 302-731-0869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: DE Fl-0000534) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: DE Fl-0000493) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |