NPI | 1508298605 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA ANNE BERRY Doctor Of Chiropractic/Owner 262-893-7519 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 4472-012) |
Enumeration Date | 2013-07-31 |
Last Update Date | 2013-07-31 |