| NPI | 1003296963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA ANN AVERSA Chiropractor 315-404-8190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NJ 38MC00724400) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-06-05 |