| NPI | 1790842185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LESLIE ROSS Owner 814-266-3911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: PA DC004889L) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |