| NPI | 1548424716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA SUZANNE BRAVARD President 563-508-5870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038011152) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2008-07-16 |