NPI | 1811213531 |
---|---|
Doing Business As | ADVANCED CHIROPRACTIC AND SPORTS REHABILITATION CLINIC |
Entity Type | Organization |
Authorized Contact | JERRILYNN J PRIMEAUX Chiropractor 337-306-0692 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: LA 1504) |
Enumeration Date | 2010-04-20 |
Last Update Date | 2015-10-05 |