| NPI | 1104523679 |
|---|---|
| Doing Business As | DR. JAMES THERIAULT |
| Entity Type | Organization |
| Authorized Contact | JAMES THERIAULT Owner 941-497-7005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2023-02-14 |