| NPI | 1093254880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY ADAM VISCONTI Co Owner 860-248-9989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: CT 2055) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |