| NPI | 1619133246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH HILDERLEY Billing Representative 352-683-3855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY CH0114431) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2015-04-22 |