| NPI | 1629576954 |
|---|---|
| Doing Business As | OPTIMAL SPINE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | NATHAN E WIEDRICH Owner 843-906-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: IL 038.010896) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-03-28 |