| NPI | 1518230093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS BLAINE FENNELL President 724-230-0422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC007383L) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2012-02-15 |