| NPI | 1508019860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE OSWALD Credentialing 561-624-2706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2008-11-20 |