NPI | 1508262593 |
---|---|
Entity Type | Organization |
Authorized Contact | JEAN LAINE President 917-803-3818 |
Organization Subpart ? | No |
Primary Taxonomy | 111NX0800X Chiropractor Orthopedic (Licence: DE F1-0000881) |
Enumeration Date | 2014-11-18 |
Last Update Date | 2014-11-18 |