| NPI | 1972785913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORA T. CANTEL Secretary 570-839-1898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC004861L) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC004835L) |
| 171100000X Acupuncturist (Licence: PA AK000651) | |
| 171100000X Acupuncturist (Licence: PA AK000652) | |
| Enumeration Date | 2007-12-01 |
| Last Update Date | 2007-12-01 |