| NPI | 1912115247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD ALLEN DREYER Member Of LLC 225-924-6115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: LA 588) |
| Additional Taxonomies | 2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine (Licence: LA 06806R) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |