| NPI | 1699903005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HEVERIN Billing Manager 215-579-7374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: PA DC007852L) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2009-06-24 |