NPI | 1720598089 |
---|---|
Doing Business As | BACK PAIN CENTER |
Entity Type | Organization |
Authorized Contact | DAVID PRUSS Owner 248-703-1139 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 33922) |
Enumeration Date | 2017-10-01 |
Last Update Date | 2017-10-01 |