| NPI | 1649381799 |
|---|---|
| Doing Business As | BACK-IN-LINE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | RISA LAUREN TAU President 267-337-0369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC-007189-L) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-06-19 |