Organization
ST. E CHIROPRACTIC AND REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GRANT GOODWIN D.C. (CLINICAL DIRECTOR)
(937) 974-8879
Entity
Organization
Contact information
Practice address
1 ELIZABETH PL, SUITE 280, DAYTON, OH 45417-3445
(937) 974-8879
(937) 660-4066
Mailing address
1 ELIZABETH PL, SUITE 280, DAYTON, OH 45417-3445
(937) 974-8879
(937) 660-4066
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
OH
Other
Enumeration date
04/21/2016
Last updated
12/22/2016
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