NPI | 1538518063 |
---|---|
Entity Type | Organization |
Authorized Contact | WAYNE OLIVER President 215-904-5252 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: PA 073752) |
Enumeration Date | 2016-06-06 |
Last Update Date | 2016-06-06 |