Organization
HUDSON CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT S GRAVES D.C.,C.C.S.P. (OWNER)
(330) 650-0322
Entity
Organization
Contact information
Practice address
46 RAVENNA ST, SUITE A - 4, HUDSON, OH 44236-3033
(330) 650-0322
(330) 650-0327
Mailing address
46 RAVENNA ST, SUITE A - 4, HUDSON, OH 44236-3033
(330) 650-0322
(330) 650-0327
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
4367
OH
111NX0800X
Orthopedic Chiropractor
4367
OH
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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