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 |