| NPI | 1548395262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN M MANISON Managing Member LLC 410-964-3229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD 1898PT) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2012-10-10 |