Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 33367 | CA |
NPI | 1245432525 |
---|---|
Provider Name | Morgan Semenchuk |
First Address | Hyde Park, NY 12538-2211 |
Second Address | Aptos, CA 95003-3815 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2007 |
Last Update Date | 08/07/2007 |