| NPI | 1568699775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ROMAN FORTUNA Chiropractor/Owner 440-888-4526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OH 3343) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 111N00000X Chiropractor (Licence: OH 3343) | |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2009-08-26 |