| NPI | 1780253161 |
|---|---|
| Doing Business As | PHYSICAL MEDICINE & REHAB |
| Entity Type | Organization |
| Authorized Contact | EDWIN ROCKFORD MCCORD Chiropractor 251-665-5585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2021-06-24 |