| NPI | 1023188141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN B GRAHAM Owner 508-747-1434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 2158) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: MA 2158) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2008-10-01 |