| NPI | 1457733610 |
|---|---|
| Former Legal Business Name | BANKO CHIROPRACTIC AND PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL JUSTIN RAMAR Owner 248-622-8501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC011019) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT022782) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2016-01-26 |