| NPI | 1508141102 |
|---|---|
| Other Name | NO |
| Entity Type | Organization |
| Authorized Contact | HARRIETTA CECCARELLI Chiropractor 239-692-8591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2011-10-14 |