| NPI | 1093143752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA S WALCUTT Owner/Dc 508-778-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA 910) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 909) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |