| NPI | 1710277579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAPHET DIVAD LEGANT Owner 757-749-9809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: VA 0104556091) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2011-04-19 |