| NPI | 1679048102 |
|---|---|
| Doing Business As | OLD MILL CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | SAMUEL EDWARD DURBIN Owner 636-928-7387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2018-10-11 |