| NPI | 1902125404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN D SCOTT President 814-397-7704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2022-10-10 |