| NPI | 1770639551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY T STUCKEY President 410-821-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: MD 01932) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2011-10-27 |