| NPI | 1043489297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA MARY PORTO Partner 203-794-1049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 487) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CT 503) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2012-07-24 |