| NPI | 1649211392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN E ALEXVICZH Billing Manager 814-836-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC006482L) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC006488L) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2016-08-18 |