NPI | 1821059759 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY E FREYALDENHOVEN Owner 501-932-0352 |
Organization Subpart ? | No |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: AR E3108) |
Enumeration Date | 2006-03-30 |
Last Update Date | 2011-06-16 |