| NPI | 1568581015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP R JEANMENNE Owner President 717-848-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC 005036 L) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |