NPI | 1780892992 |
---|---|
Doing Business As | JERSEY RIDGE CHIRO & REHAB |
Entity Type | Organization |
Authorized Contact | JEFFREY CASTRO Chiropractor 563-884-8093 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: IA 06275) |
Enumeration Date | 2007-05-19 |
Last Update Date | 2007-07-10 |