| NPI | 1497891220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL MUNOZ President 304-598-2632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WV 709) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: WV WV12617) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |