NPI | 1679747919 |
---|---|
Entity Type | Organization |
Authorized Contact | BRYCE CHRISTOPHER FREELAND Owner 8017-763-3974 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 55343551202) |
Enumeration Date | 2008-04-17 |
Last Update Date | 2008-04-17 |