| NPI | 1972184505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOI GADDY EGBUNIWE Owner 443-286-7270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition |
| 111NP0017X Chiropractor, Pediatric Chiropractor | |
| 111NR0200X Chiropractor, Radiology | |
| 111NS0005X Chiropractor, Sports Physician | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2022-05-17 |