NPI | 1437331311 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD BLAKE BERRY Owner 301-620-4100 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: MD S01420) |
Enumeration Date | 2007-12-03 |
Last Update Date | 2012-03-06 |