| NPI | 1437324761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW PROKURAT Chief Operating Officer 610-435-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: PA DC006644L) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-05-05 |