| NPI | 1841613718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA CLARK Chiropractor/Owner 866-932-9630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002710A) |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2014-01-29 |