| NPI | 1033419130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | L. ANDREW TOLK Owner/Chiropractor 860-651-3521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 302) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CT 001705) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2010-10-25 |