NPI | 1073704607 |
---|---|
Entity Type | Organization |
Authorized Contact | BASSAM MAWLA President 413-726-0912 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: MA 3120) |
Enumeration Date | 2007-08-08 |
Last Update Date | 2007-08-08 |