| NPI | 1902296254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY DEWALD Doctor Of Chiropractic 570-523-9609 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA DC010975) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2018-07-30 |