| NPI | 1861729188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE PATRICK MORRISON Chiropractor/Owner 757-905-0701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: VA 0104556726) |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2009-11-06 |