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 |