| NPI | 1881060127 |
|---|---|
| Doing Business As | INSTITUTE FOR FUNCTIONAL HEALTH- STONE OAK |
| Entity Type | Organization |
| Authorized Contact | JESSICA PAGE Administrator 804-504-6114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-08-20 |