NPI | 1649041104 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS ANTHONY SHELTON Owner 301-744-9024 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2024-01-12 |
Last Update Date | 2024-01-12 |