| NPI | 1447390109 |
|---|---|
| Doing Business As | FORME MEDICAL & REHAB AND KIRK CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | MARK J KIRK Clinic Director 419-425-9798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 2408) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2012-12-07 |