NPI | 1659027530 |
---|---|
Doing Business As | BOUNDLESS PERFORMANCE MEDICINE |
Entity Type | Organization |
Authorized Contact | TOBY DATTOLO Owner/Manager 561-855-0668 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2022-03-01 |
Last Update Date | 2022-03-01 |