| NPI | 1932521770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID TUCKER Chiropractor 215-750-8006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PA DC010742) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-01-14 |