| NPI | 1699134825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORA ALYCE GENTRY FOGEL Co Owner 412-228-0373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC011060) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-02-16 |