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 |