NPI | 1558423988 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW DUDDY Owner 610-594-8522 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: DC-004583-L) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MO DC-006464-L) |
111N00000X Chiropractor (Licence: NY DC-005947-L) | |
Enumeration Date | 2006-12-14 |
Last Update Date | 2014-09-04 |