| NPI | 1730328535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN DETRAY Owner 419-785-4215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 3918) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: OH 3918) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2014-05-14 |