| NPI | 1619004223 |
|---|---|
| Doing Business As | SPINALIFE BACK PAIN CENTER |
| Entity Type | Organization |
| Authorized Contact | DALE E. HEIL CFO 410-256-9650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: MD S01242) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |