| NPI | 1942599683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALIYAH TAMAR STOTTER Co Owner 954-752-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: GA chiro08142) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA chiro08697) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2011-05-12 |