| NPI | 1811050784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET E FRIDAY Vice President 410-544-7074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MD 1347) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MD 1335PT) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2013-04-20 |