NPI | 1790721058 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM THOMAS COWAN President 302-654-0404 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: DE F10000381) |
Enumeration Date | 2006-06-22 |
Last Update Date | 2020-08-22 |