| NPI | 1689818668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA MARY DERLETH Owner/Chiropractor 585-598-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 011622) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2009-04-22 |