| NPI | 1497956049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA S FREDERICK Chiropractor, Owner 765-286-9020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002263A) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2009-06-22 |