| NPI | 1477079382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MARIE FAGAN Owner/Chiropractor 267-269-7677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA DC005051L) |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2017-11-21 |