| NPI | 1881096758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK D BRENNAN Agent 330-883-1843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038012460) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038012570) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2014-09-22 |