NPI | 1831395565 |
---|---|
Entity Type | Organization |
Authorized Contact | NATHAN MULANAX Owner 870-704-4072 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2007-06-21 |
Last Update Date | 2013-06-25 |