| NPI | 1740490242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPIRO T THEODORE President 301-869-0006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: MD S02045) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MD 02045) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2010-11-08 |