| NPI | 1649547001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA LYNN JAVERSAK Chiropractic 918-424-9555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: OK 3513) |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2011-11-29 |