| NPI | 1508187501 |
|---|---|
| Doing Business As | PROACTIVE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | LEE M GRANT Sole Member 580-222-6777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OK 3975) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2010-06-14 |