Organization
DR. KOTEUAISA CHIROPRACTIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOTEUAISA WILSON (PRESIDENT)
(407) 745-7859
Entity
Organization
Contact information
Practice address
805 S KIRKMAN RD, SUITE 102, ORLANDO, FL 32811-2200
(407) 745-1859
Mailing address
805 S KIRKMAN RD, SUITE 102, ORLANDO, FL 32811-2200
(407) 745-1859
(407) 264-6662
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/18/2013
Last updated
04/22/2013
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