NPI | 1710160312 |
---|---|
Doing Business As | PERFORMANCE CHIROPRACTIC AND SPORTS REHAB. |
Entity Type | Organization |
Authorized Contact | ANTHONY GREGORY ORIGER President 317-884-0995 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: IN 08001958A) |
Enumeration Date | 2007-12-06 |
Last Update Date | 2008-03-07 |