| NPI | 1942608682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN C MOWLL Owner 302-743-2442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2014-12-11 |