| NPI | 1730427287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELAINE MUSE Edi Manager 800-888-8075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 111N00000X Chiropractor | |
| 213E00000X Podiatrist | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-01-17 |