NPI | 1700153863 |
---|---|
Entity Type | Organization |
Authorized Contact | STEWART SAMUEL LOEB President/Owner 301-577-6556 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MD 1496PT) |
Enumeration Date | 2011-11-17 |
Last Update Date | 2011-11-17 |