| NPI | 1770096653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN PARKER SANDERS CEO 772-882-0701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2021-01-04 |