| NPI | 1043469018 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY S PEPIN Owner 203-949-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: CT 000772) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2008-09-15 |