| NPI | 1861804783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX SANDROW Owner 360-883-2450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: WA CH.60462604) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2014-05-27 |