NPI | 1902858335 |
---|---|
Entity Type | Organization |
Authorized Contact | TONY E WANO President 724-222-8322 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: PA DC005027L) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2020-08-22 |