NPI | 1760461933 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA FOGEL President 479-582-4325 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: AR 1430) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: AR DOM 029) |
Enumeration Date | 2006-01-16 |
Last Update Date | 2014-08-25 |