NPI | 1750628699 |
---|---|
Doing Business As | PHYSICALLY SOUND PERFORMANCE CARE |
Entity Type | Organization |
Authorized Contact | VICTOR ST JOHN President 207-289-6005 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: ME CR2387) |
Enumeration Date | 2013-01-11 |
Last Update Date | 2020-10-07 |