| NPI | 1992225387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN BAYZICK Owner 215-957-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| 332900000X Non-Pharmacy Dispensing Site (Licence: PA MD067744L) | |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2020-05-12 |