| NPI | 1710259742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN C BOESCHE President 410-442-8088 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: MD S01221) |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2012-02-07 |