| NPI | 1841812344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAY NGUYEN Owner / CFO 443-720-8230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2026-03-04 |