| NPI | 1548976566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON VEZENDY Manager/Organizer 704-252-1093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0100X Chiropractor, Occupational Health |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2023-01-24 |