| NPI | 1891958070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA MARCELLA STATEN Chiropractic Physician 704-561-0085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 3133) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2010-06-18 |