NPI | 1841457124 |
---|---|
Entity Type | Organization |
Authorized Contact | GINA SCOGNAMIGLIO REID Owner/President 314-439-5548 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor Sports Physician |
Enumeration Date | 2008-05-22 |
Last Update Date | 2008-06-25 |