| 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 |