| NPI | 1811109655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETTNEY ROBERT RAMSOUR President 570-476-5577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC009339) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC005908) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |