| NPI | 1093917494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN L. ROUSSEL Owner Chiropractor 401-253-7475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: RI DCP00188) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2007-10-25 |