| NPI | 1417381070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY T BERARD Owner 772-359-8108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| 225100000X Physical Therapist | |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2023-06-27 |