| NPI | 1588908685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAN KYU PARK President 678-473-0552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: GA CHIR009022) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |