| NPI | 1871885558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW JOHN RIVERA Doctor 570-702-7118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NE 1662) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NE 1663) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-12 |